SMART Health Cards: Vaccination & Testing Implementation Guide
1.0.0 - STU1 International flag

SMART Health Cards: Vaccination & Testing Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-shc-vaccination-ig/ and changes regularly. See the Directory of published versions

Artifacts Summary

Page standards status: Informative

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Patient Profiles

Patient Profile - General - Allowable Data

Defines a fallback (AD) profile representing a patient in a health card related to infectious disease vaccination and testing issued in jurisdictions where no jurisdiction-specific profile is available.

See here for implementation details.
Patient Profile - General - Data Minimization

Defines a primary (DM) profile representing a patient in a health card related to infectious disease vaccination and testing issued in jurisdictions where no jurisdiction-specific profile is available.

See here for implementation details.
Patient Profile - United States - Allowable Data

Defines a fallback (AD) profile representing a patient in a health card related to infectious disease vaccination and testing issued in the United States.

See here for implementation details.
Patient Profile - United States - Data Minimization

Defines a primary (DM) profile representing a patient in a health card related to infectious disease vaccination and testing issued in the United States.

See here for implementation details.

Vaccination Profiles

Vaccination Profile - Allowable Data

Defines a fallback (AD) profile representing a vaccination in a health card.

See here for implementation details.
Vaccination Profile - Data Minimization

Defines a primary (DM) profile representing a vaccination in a health card.

See here for implementation details.

Laboratory Results Profiles

COVID-19 Laboratory Result Observation Profile - Allowable Data

Defines a fallback (AD) profile representing a laboratory testing result for COVID-19 in a health card.

See here for implementation details.
COVID-19 Laboratory Result Observation Profile - Data Minimization

Defines a primary (DM) profile representing a laboratory testing result for COVID-19 in a health card.

See here for implementation details.
Generic Laboratory Result Observation Profile - Allowable Data

Defines a fallback (AD) profile representing an infectious disease laboratory testing result in a health card.

See here for implementation details.
Generic Laboratory Result Observation Profile - Data Minimization

Defines a primary (DM) profile representing an infectious disease laboratory testing result in a health card.

See here for implementation details.

Bundle Profiles

COVID-19-specific Laboratory Test Results Bundle - Allowable Data

Defines a fallback (AD) profile representing a bundle of patient and COVID-19 laboratory testing data for health cards.

See here for implementation details.
COVID-19-specific Laboratory Test Results Bundle - Data Minimization

Defines a primary (DM) profile representing a bundle of patient and COVID-19 laboratory testing data for health cards.

See here for implementation details.
Infectious Disease (Generic) Laboratory Test Results Bundle - Allowable Data

Defines a fallback (AD) profile representing a bundle of patient and generic infectious disease laboratory testing data for health cards.

See here for implementation details.
Infectious Disease (Generic) Laboratory Test Results Bundle - Data Minimization

Defines a primary (DM) profile representing a bundle of patient and generic infectious disease laboratory testing data for health cards.

See here for implementation details.
Vaccination Bundle - Allowable Data

Defines a fallback (AD) profile representing a bundle of patient and vaccination data for health cards.

See here for implementation details.
Vaccination Bundle - Data Minimization

Defines a primary (DM) profile representing a bundle of patient and vaccination data for health cards.

See here for implementation details.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

All ICD-11 codes

All codes from ICD-11
Completed observation status

Contains a subset of <http://hl7.org/fhir/ValueSet/observation-status> for completed/amended observations.
Identity Assurance Level

Relevant identity assurance level codes, based on NIST 800-63-3. See <https://smarthealth.cards/ial> for details.
Immunization / All / CVX

Contains all CVX codes from <https://www2.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx> as of 2025-09-03. This list of codes will not update automatically, so please refer to this URL for the most up-to-date codes.the most up-to-date codes.
LOINCs identifying qualitative COVID lab tests

This value set includes a subset of the LOINCs found at <https://loinc.org/sars-cov-2-and-covid-19/> that identify COVID-19-related laboratory tests. Only those laboratory tests that include qualitative results we believe to be useful in SMART Health Cards are included.qualitative results we believe to be useful in SMART Health Cards are included.
Lab result findings (SNOMED CT)

This value set includes SNOMED CT codes for identifying laboratory test results.
Qualitative infectious disease-related lab test result codes

This value set includes a codes to identify the results of qualitative lab tests related to infectious diseases.
SNOMED CT vaccine codes

This value set includes SNOMED CT codes for identifying vaccines.
Specimen Collection Supervision Status

Relevant codes representing specimen collection supervision status

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Identity Assurance Level Code System

Code representing identity assurance level, based on NIST 800-63-3

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

example-bundle-immunization-covid

Generated example for shc-vaccination-bundle-dm
example-bundle-immunization-covid-2

Generated example for shc-vaccination-bundle-ad
example-bundle-immunization-mpox

Generated example for shc-vaccination-bundle-dm
example-bundle-immunization-mpox-2

Generated example for shc-vaccination-bundle-ad
example-bundle-lab-test-results-covid

Generated example for shc-infectious-disease-laboratory-bundle-dm
example-bundle-lab-test-results-covid-2

Generated example for shc-infectious-disease-laboratory-bundle-ad
example-bundle-lab-test-results-covid-3

Generated example for shc-covid19-laboratory-bundle-dm
example-bundle-lab-test-results-covid-4

Generated example for shc-covid19-laboratory-bundle-ad
example-immunization-covid-1a

Generated example for shc-vaccination-dm
example-immunization-covid-1b

Generated example for shc-vaccination-ad
example-immunization-covid-2a

Generated example for shc-vaccination-dm
example-immunization-covid-2b

Generated example for shc-vaccination-ad
example-immunization-covid-3a

Generated example for shc-vaccination-dm
example-immunization-covid-3b

Generated example for shc-vaccination-ad
example-immunization-mpox-1a

Generated example for shc-vaccination-dm
example-immunization-mpox-1b

Generated example for shc-vaccination-ad
example-immunization-mpox-2a

Generated example for shc-vaccination-dm
example-immunization-mpox-2b

Generated example for shc-vaccination-ad
example-observation-covid-1a

Generated example for shc-infectious-disease-laboratory-result-observation-dm
example-observation-covid-1b

Generated example for shc-infectious-disease-laboratory-result-observation-ad
example-observation-covid-1c

Generated example for shc-covid19-laboratory-result-observation-ad
example-observation-covid-1d

Generated example for shc-covid19-laboratory-result-observation-dm
example-patient-covid-1a

Generated example for shc-patient-general-dm
example-patient-covid-1b

Generated example for shc-patient-general-ad
example-patient-covid-1c

Generated example for shc-patient-us-dm
example-patient-covid-1d

Generated example for shc-patient-us-ad